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DR. DAVID HERZOG PSY.D.

Behavioral Health & Social Service Providers Psychologist Addiction (Substance Use Disorder)

Provider NPI: 1205266384

Provider Information:
DR. DAVID  HERZOG PSY.D.
Gender: M
Sole Proprietor

Practice Location:
7522 221ST PL SW  EDMONDS, WA 98026-8029 US
Tel: 626-864-2343  Fax: --

Business Mailing Address:
7522 221ST PL SW  EDMONDS, WA 98026-8029 US
Tel: 626-864-2343  Fax: --

NPI Information:
NPI: 1205266384
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103TA0400XBehavioral Health & Social Service Providers
Psychologist
Addiction (Substance Use Disorder)
HI1336
N103TA0700XBehavioral Health & Social Service Providers
Psychologist
HI1336
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
HI1336
N103TC2200XBehavioral Health & Social Service Providers
Psychologist
HI1336
N103TE1100XBehavioral Health & Social Service Providers
Psychologist
HI1336
N103TF0000XBehavioral Health & Social Service Providers
Psychologist
N103TH0004XBehavioral Health & Social Service Providers
Psychologist
HI1336
N103TP2701XBehavioral Health & Social Service Providers
Psychologist
N103TR0400XBehavioral Health & Social Service Providers
Psychologist
HI1336

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 103TC0700X

Type:

Classification:



Definition:



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